Active NPI
Nicholas Bushey DMD PLLC
Doing business as East Texas Children's Dentistry
- Pediatric Dentistry
- Mount Pleasant, TX
National Provider Identifier
1104720416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- NICHOLAS BUSHEY DMD PLLC
- Doing business as
- East Texas Children's Dentistry
- Practice address
- 401 W 19TH St
Mount Pleasant, TX 75455-2331 - Phone
- (903) 577-9900
- Fax
- (903) 577-9901
- NPI assigned
- Oct 8, 2026
- Last updated
- Oct 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nicholas Todd Bushey, DMD
- Title
- Pediatric Dentist
- Phone
- (903) 577-9900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | NU | Primary |
Addresses
Primary practice location
401 W 19TH St
Mount Pleasant, TX 75455-2331
Mailing address
401 W 19TH St
Mount Pleasant, TX 75455-2331
Phone (903) 577-9900
Other names 1
- East Texas Children's Dentistry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791417600000",
"number": "1104720416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W 19TH ST",
"city": "MOUNT PLEASANT",
"state": "TX",
"postal_code": "754552331",
"telephone_number": "903-577-9900",
"fax_number": "903-577-9901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W 19TH ST",
"city": "MOUNT PLEASANT",
"state": "TX",
"postal_code": "754552331",
"telephone_number": "903-577-9900",
"fax_number": "903-577-9901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICHOLAS BUSHEY DMD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-08",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A",
"authorized_official_last_name": "BUSHEY",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_middle_name": "TODD",
"authorized_official_title_or_position": "PEDIATRIC DENTIST",
"authorized_official_telephone_number": "903-577-9900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "East Texas Children's Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mount Pleasant, TX
- My Infant Needs,Inc
- Kimberly Najera
- David Thomas Narens Sr.
- NE Texas Interventional Medicine, PA
- Nexion Health at Mount Pleasant Inc. (Mount Pleasant Healthcare Center)
- Brian Keith Nichols, O.D.
- Abril Noriega, OTR
- Colbie Cross Norment, PA
- Northeast Texas Community College Dental Hygiene Clinic
- Northeast Texas Midwifery PLLC (Fair Flowers Birth Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.